Individual
ROBERT K EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2825 EAST BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-7000
Mailing address
PO BOX 4749, MEDFORD, OR 97501-0227
(541) 789-5516
(541) 789-5518
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01062006
IN
207P00000X
Emergency Medicine Physician
Primary
C54892
CA
207P00000X
Emergency Medicine Physician
MD173701
OR
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
01062006A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000480364
ANTHEM
IN
05
—
200818710A
—
IN
01
—
P00364009
RAIL ROAD MEDICARE
IN
Enumeration date
05/23/2006
Last updated
09/20/2023
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